title: [Developments in pancreatic surgery during the past ten years].
abstract: Pancreatic surgery has undergone significant progress during recent years. Specialised centres with interdisciplinary expertise have led to improved patient care with decreased morbidity and mortality. Regarding evidence-based medicine, consensus definitions on morbidity as well as high-quality studies, systematic reviews and meta-analyses on different topics of pancreatic surgery have been published. In acute pancreatitis paradigms have shifted towards conservative management, in chronic pancreatitis parenchyma-sparing resection techniques have widely become accepted. Management of cystic lesions - especially intraductal papillary mucinous neoplasms (IPMN) - has attracted great interest in surgical practice. In pancreatic cancer treatment not only surgical resection techniques have improved but also the central impact of adjuvant treatment has been demonstrated in large multicentre trials.
authors.affiliation: Klinik für Allgemeine, Viszerale und Transplantationschirurgie, Universität Heidelberg, Deutschland.
authors.forename: T
authors.initials: T
authors.lastname: Hackert
authors.affiliation: Klinik für Allgemeine, Viszerale und Transplantationschirurgie, Universität Heidelberg, Deutschland.
authors.forename: C
authors.initials: C
authors.lastname: Tjaden
authors.affiliation: Klinik für Allgemeine, Viszerale und Transplantationschirurgie, Universität Heidelberg, Deutschland.
authors.forename: M W
authors.initials: MW
authors.lastname: Büchler
mesh_terms: D002288:Adenocarcinoma, Mucinous / Q000401:mortality / Q000601:surgery; D000231:Adenocarcinoma, Papillary / Q000401:mortality / Q000601:surgery; D021441:Carcinoma, Pancreatic Ductal / Q000401:mortality / Q000601:surgery; D003131:Combined Modality Therapy / Q000639:trends; D013505:Digestive System Surgical Procedures / Q000639:trends*; D005858:Germany; D006801:Humans; D010179:Pancreas / Q000601:surgery*; D010181:Pancreatic Cyst / Q000401:mortality / Q000601:surgery; D010182:Pancreatic Diseases / Q000401:mortality / Q000601:surgery*; D010190:Pancreatic Neoplasms / Q000401:mortality / Q000601:surgery*; D016019:Survival Analysis